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HRD-83-52 1 (1983-09-26)

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BY T E   MPTROLLER GENERA~z--L


Report To The Honorable

Paula Hawkins

United States Senate


OF THE UNITED STATES


Improvements Needed In Clinical

Testing Of Anticancer Drugs




Despite improvements in the way the Food and Drug
Administration (FDA) and the National Cancer Institute
(NCI) have carried out their responsibilities of protecting
patients during clinical testing of anticancer drugs, further
improvements should be made.

Actions needed by FDA include (1) more promptly notifying
sponsors of clinical drug tests of concerns raised during its
review of study proposals, (2) establishing a followup
system to assure that its concerns are addressed by
sponsors, (3) requiring sponsors to submit all study plans
(protocols) before clinical testing begins, (4) clarifying its
requirements for the reporting of adverse drug reactions,
and (5) issuing final regulations specifying the monitoring
responsibilities of sponsors.

Actions needed by NCI include (1) advising FDA in a timely
manner of actions taken or to be taken on concerns raised
by FDA, (2) requiring that site monitoring visits be made
frequently enough to assure that the studies are properly
carried out, and (3) studying the need for and usefulness of
its drug study data system and, if needed, requiring that
data be submitted in a more timely and complete manner.


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              GAO/HRD-83-52
            SEPTEMBER 26, 1983



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RELEASED




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